Individual provider Active NPI

Varsha Reddy Yerram, DO

  • Emergency Medicine Physician
  • Vineland, NJ
National Provider Identifier
1881252559
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
741750 Issued in TX
Practice address
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone
(484) 942-7029
NPI assigned
May 29, 2019
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 741750 TX Primary

Addresses

Primary practice location

1505 W Sherman Ave
Vineland, NJ 08360-7059

Mailing address

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (484) 942-7029

Other names 1

  • Varsha Reddy Yerram Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phoenixville

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220729001159 TX Practitioner - Emergency Medicine 0941682595 Reassigns benefits to 3 organizations
I20241219002607 IL Practitioner - Emergency Medicine 0941682595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians

Practice addresses (Care Compare)

11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 770-7000

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (281) 637-7000

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

8960 Hillside Rd
Amarillo, TX 79119-7323
Phone (561) 203-0611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
741750TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Dec 26, 2024 Accepting new patients
Insight Chicago, Inc. CurrentSince Dec 10, 2024 Accepting new patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Insight Chicago, Inc. CurrentSince Dec 10, 2024 Accepting new patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Mar 31, 2025 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1881252559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "484-942-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "484-942-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERRAM",
        "first_name": "VARSHA",
        "middle_name": "REDDY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "741750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenixville",
            "affiliation": "N",
            "address_1": "23 Goldfinch Cir",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194601001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VARSHA",
            "last_name": "YERRAM",
            "middle_name": "REDDY",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.